Search › Idaho › 103T00000X
Thomas Deantonio, PH.D
NPI 1194845198 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1361 Bluff Dr
Hailey, ID 83333 - Phone
- (818) 399-7384
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-11-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho